Braindance Submissions 2008

Please provide the following contact information:

First Name
Last Name
Middle Initial
Home Phone
Confirm Phone Number
E-mail
Confirm Email

Enter your Project Title in the space provided below.

Please submit only one online registration form for each project. Please do not submit a different registration form for each student working on the project.  Enter your the names of any additional students in the space provided below.

Enter your class name (example: Biology 1) in the space provided.

Choose one of the following options for the subject of your project:

Art Academic

Please choose your grade below:

9 10 11 12

Enter your School's Name in the space provided below.

Please provide your school's contact information:

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
School Main Office Phone

Enter your Teacher's Name in the space provided below.

Enter your Teacher's Email in the space provided below.

Enter your Principal's Name in the space provided below.

We prefer to receive projects by electronic submission, but accept projects via mail or hand delivered. If you are not submitting your project electronically, please check the box below.

Submit Project by mail

If you are submitting the project electronically, please attach your files below (See note below):

Note: For all digital files, please follow the naming convention below, or your files WILL NOT be accepted.  This makes it easier for us to identify your work.

Files should be named:

2008Lastname_Firstname

For multiple files, please add a number after the first name, in ascending order.

Please check all of your information before you click the 'Submit' button.  Incomplete or erroneous applications will not be processed.

Questions?  Please contact Jim Seltzer at (860) 545-7252 or jseltze@harthosp.org